Neuroendocrine Changes in Cervical Spinal Manipulation and Mobilization Non-specific Mechanical Neck Pain
Neck Pain
About this trial
This is an interventional other trial for Neck Pain
Eligibility Criteria
Inclusion Criteria:
- . Subjects will be healthy male and females between 18 to 60 years of age.
- . Resting neck pain ≤ 30 days that is mechanical in nature without radiating pain below shoulder.
- . Neck Disability Index ≥ 10/50.
- . Negative Upper Cervical instability tests such as Sharper-Purser test, Alar ligament test and Transverse ligament test.
Exclusion Criteria:
- . Cervical Arterial Dysfunctions.
- . Serious medical conditions (CA, spinal cord injury).
- . History of instability disorders (History of neck injury, surgery, fractures, osteoporosis, arthritis, ankylosing spondylitis).
- . Neurological conditions (Nerve root compression, central nervous system involvement, myelopathy, fibromyalgia.
- . Endocrine dysfunctions (Autoimmune-related diseases, adrenal gland pathology, systematic metabolic disorders).
- . Pregnancy/Lactating/Postpartum.
- . Pending legal action regarding their neck pain.
Sites / Locations
- Loma Linda University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
cervical manipulation
cervical mobilization
postural correction education
The cervical spinal manipulation will consist of one session of a standard technique that will be performed by an experienced (>10 years) doctor of physical therapy practitioner. The technique is described by Gibbons and Tehan as a high-velocity, mid-range, low amplitude force at the segment of pain and/or segmental restrcition. The participant will lay comfortably in a supine position, the practitioner will then use his clinical discretion to select the most appropriate or symptomatic cervical motion segments and attempt to localize the manual thrust at those levels. A maximum of 2 attempts for each side of the cervical spine will be allowed regardless of the having achieved joint cavitation. This type of cervical manipulation procedure is described by Gibbons and Tehan as "Minimal Leverage Thrust" and it results in optimal patient comfort while receiving the treatment thus reducing post-treatment soreness/pain.
The cervical spinal mobilization treatment will also consist of one session of a standard technique that will be performed by an experienced (>10 years) doctor of physical therapy practitioner. For this procedure, the participant will lay comfortably in a prone position, the practitioner will then use his clinical discretion to select the most appropriate or symptomatic cervical motion segments and attempt to localize the manual forces at those segments. The magnitude of a mobilization-or how hard the therapist pushes on the spine-is usually reported as the magnitude of force. For an oscillatory posterior-anterior (PA) mobilization technique, the maximum magnitude of applied force is usually reported as the mean of the force peaks that occur during a specified period.34 The cervical mobilization will consist of oscillations of 1Hz and magnitude forces of 30 Newtons (N) for 30 seconds, 90N for 120 seconds and 30N for 30 seconds at the localized segment.
Participants will be presented with a standardized educational short video regarding the importance of postural correction movements.